Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04951 | Date 27/04/2019 |
| Token No | SM/19-20/1834 27/04/2019 | Serial | 083 Last Visit: 27/04/2019 |
| Patient Name | Mr. GHOSH DEVASISH NARENDRA | Contact No | 7699991447 |
| Address | 18 BHADURI PARA SERAMPORE (M) | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||